Complete Exam Questions with
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Dystonia - ANSWER ✓ a condition of abnormal muscle tone that causes the
impairment of voluntary muscle movement; seen in Parkinson's
Physical abuse - ANSWER ✓ the intentional infliction of bodily harm or injury on
another person (slapping, choking, hitting, punching, biting); indicators include
H/A, back ache, dizziness, bruises and accidents (falls)
Sexual abuse - ANSWER ✓ any sexual act without consent; indicators include
drawing sexually explicit images, acting out sexual interactions in play, excessive
masturbation, PTSD symptoms (nightmares, feeling of guilt)
Emotional abuse - ANSWER ✓ undermining an individual's sense of self-worth
and/or self-esteem (criticism, humiliation, name-calling, isolating); indicators
include low self esteem, reported feelings of inadequacy, anxiety, withdrawal,
learning difficulties, and poor impulse control
Neglect - ANSWER ✓ failure to provide for physical, emotional, educational, and
medical needs; indicators include lack of immunizations, dirtiness, poorly clothed,
untreated medical/dental conditions
Economic abuse - ANSWER ✓ controlling a person's access to economic
resources making an individual financially dependent; indicators include bills
being left unpaid resulting in disconnection of heat/electricity
Secondary effects of violence/abuse - ANSWER ✓ anxiety, depression, suicidal
ideation
, MAOI (monoamine oxidase inhibitors) - ANSWER ✓ - Drugs: isocarboxazid
(Marplan), phenelzine (Nardil), selegiline (EMSAM), tranylcypromine (Parnate)
- Action: antidepressant drugs that inhibit action of monoamine oxidase to prevent
destruction of NTs (dopamine, NE, epi, serotonin)
- Implications: increases synaptic level of NTs resulting in antidepressant effects of
these drugs; have to avoid some foods/drugs do to toxicity and risk of HTN
Perpetrator of Violence - ANSWER ✓ - Person who commits a violent act
- Consider their own needs more important than the needs of others
- Poor social skills
- Extreme pathological jealousy
- May control family finances
Vulnerable Person - ANSWER ✓ the family member upon whom abuse is
perpetrated (may be a victim or survivor or both)
Cycle of Violence - ANSWER ✓ 1. tension building: begins with minor incidents
(pushing/shoving) and the victim often ignores or accepts behavior due to fear of
escalation (walking on eggshells)
2. incident of acute battering: tension peaks and is usually triggered by an external
event; victim may cover up injuries
3. honeymoon stage: abuser demonstrates kindness and loving behviors; abuser
may feel remorseful initially; victim usually feels needed/loved and hopes for
change
Act of Commission vs Act of Omission - ANSWER ✓ Commission: deliberate
and intentional (physical, emotional, sexual abuse)
Omission: neglect where basic needs are not met
Characteristics of Vulnerable Persons: Children - ANSWER ✓ - Usually younger
than 3 years
- Perceived as different
- Remind parents of someone they do not like
- Product of an unwanted pregnancy
- Interference with emotional bonding between parent and child
Characteristics of Vulnerable Persons: Women - ANSWER ✓ - Pregnancy may
trigger or increase violence
,- Violence may escalate when wife makes move toward independence
- Greatest risk for violence when the woman attempts to leave the relationship
Characteristics of Vulnerable Persons: Older Adults - ANSWER ✓ - Poor mental
or physical health
- Dependent on perpetrator
- Female, older than 75 years, white, living with a relative
- Elderly father cared for by a daughter he abused as a child
- Elderly woman cared for by a husband who has abused her in the past
Areas to assess when interviewing a person who has experienced abuse -
ANSWER ✓ - level of anxiety and coping responses
- family coping patterns
- support systems
- Suicide/Homicide potential
- drug/alcohol use
Common responses of healthcare providers to violence - ANSWER ✓ anger,
embarrassment, confusion, fear, anguish, helplessness, discouragement, or "blame
the victim" mentality
Nursing Dx for Family Violence - ANSWER ✓ - Risk for Violence
- Pain
- Risk for infection
- Fear
- Powerlessness
- Chronic low self-esteem
- Ineffective individual coping
Nurses are _______ _______ to report suspected or actual cases of child and
vulnerable adult abuse - ANSWER ✓ legally mandated
Safety Planning - ANSWER ✓ a plan for a rapid escape when abuse recurs; think
about code words, transportation, being able to identify signs of escalation,
packing items ahead of time, importanat phone numbers, shelters/safety houses
Prevention of Abuse: Primary - ANSWER ✓ Measures taken to prevent the
occurrence of abuse; reduce stress, increase coping skills, increase self-esteem,
increase social support
, Prevention of Abuse: Secondary - ANSWER ✓ Early intervention in abusive
situations to minimize their disabling or long-term effects; screening programs,
support groups, counseling/education, contact info for community resources
Prevention of Abuse: Tertiary - ANSWER ✓ - Facilitating the healing and
rehabilitative process
- Providing support
- Assisting survivors of violence to achieve their optimal level of safety, health,
and well-being
Causes of Delirium - ANSWER ✓ -Postoperative states
-Drug intoxications and withdrawals (take VS and assess for seizures)
-Infections (UTI)
-Metabolic Disorders (Diabetic Ketoacidosis)
-Medications
-Neurological Diseases
-Tumors
-Psychosocial stressors (PTSD, prolonged stress)
__________ nursing care is probably the most important for those who will be
institutionalized for a long time - ANSWER ✓ Individualized
Pharm Therapy for AD: Cholinesterase Inhibitors: Rivastigmine (Exelon) -
ANSWER ✓ - Action: inhibits breakdown of Ach (acetylecholinesterase) to
increase available Ach
- Implications: mild-moderate AD; exelon patch approved for mild-mod dementia
of Parkinson's
- SE: N/V/D, anorexia, constipation, dyspepsia, tremors, confusion, coloitis, GI
bleeding/obstruction, panceratitis, anxiety, insomnia, muscle cramping,
bradycardia, cardiac arrest, MI
Family Interventions for Dementia - ANSWER ✓ -Listen! Validate feelings
-Support positive coping methods
-Promote realistic expectations
-Refer to support groups
-Refer to adult daycare programs
-Refer to the Alzheimer's Association